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題名:私立醫院院長對醫療法人制度認知之研究
書刊名:嘉南學報
作者:陳惠芳黃慧娜楊美雪 引用關係蔡蕙謓黃妙梅
作者(外文):Chen, Hui-fangHuang, Hui-naYang, Meei-shieuTsay, Huey-chenHuang, Miaw-mei
出版日期:2001
卷期:27
頁次:頁152-165
主題關鍵詞:私立醫院認知醫療法人Private hospitalKnowledgeMedical juridical person
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:2
  • 點閱點閱:14
     私立醫院在衛生醫療體系內,扮演重要的角色和功能,衛生署為了改善過去醫療 法對私立醫院所有權屬性定位之不妥,而使醫院面臨經營窘困所衍生之問題可依法得到解決 ,擬將修法建立醫療法人制度。本研究以郵寄問卷調查法調查私立醫院院長對醫療法人制度 的認知,再以 t 檢定、ANOVA 檢定及逐步複迴歸分析影響認知之因素。 結果經因素分析法 發現其認知構面可分為改善醫院整體管理政策、法人化醫院財務管理政策、營利性法人政策 及醫院所有權屬性政策等四個類別。 完成問卷之 104 位醫院院長中,有 82 %院長贊成實 施醫療法人制度。又認知構面之影響因素經 t 檢定及 ANOVA 檢定分析,結果發現是否贊成 法人制度實施、專任員工數、醫院功能、醫院科別數、每日門診診數、每日平均門診人次、 平均佔床率等項目有差異,而以逐步複迴歸分析,則發現四個構面認知之影響因素為是否贊 成法人制度實施,且贊成者認知高於不贊成者。由上可知,高達 82 %醫院院長贊成此制度 之實施,且都有相當的認知,故建議政府應積極宣導醫療法人政策規劃內容,醫院更應注意 其未來法規內容是否合理,以縮減雙方歧見順利達到政策目標。
     Over recent years, Taiwan healthcare delivery has become more and more troubled by the persistent slide into recession of private hospitals. Under this circumstance, Department of Health is undertaking a massive Medical Law amendment to transform private hospital into a vital medical juridical person. But if it is to achieve the transformation needed succeed in today's environment, private hospital superintendents must being make sense with the Medical Juridical Person System. This study aimed to investigate the dimensions and their related factors of private hospital superintendents' knowledge about Medical Juridical Person System. A survey was conducted in nationwide private hospital superintendents. Data were collected from mail questionnaires. Analysis of variance (ANOVA), t-test and stepwise multiple regression analysis were used to determine the association between the variables. The results indicated that the private hospital superintendents' knowledge about Medical Juridical Person System was consisted of four dimensions, there are: (1) improving hospital whole management policy; (2) medical juridical person's financial management policy; (3) forprofit juridical person policy; and (4) hospital ownership policy. In total, 104 superintendents completed the questionnaire during the study period. Eighty-two percent of the superintendents were in agreement with the implementation of medical juridical person system. Run t-test and ANOVA, it was identified that superintendents' knowledge was correlated with the variables such as superintendents' opinion toward the implementation of medical juridical person system, number of hospital employee, hospital function, number of hospital discipline, number of outpatient clinic per day, average outpatient service volume per day and hospital average occupancy rate. Furthermore, the results of stepwise multiple regression analysis revealed that the superintendents' knowledge related factor was superintendents' opinion toward the implementation of medical juridical person system. Finally, the study pointed out that superintendents having a higher understanding of the medical juridical person system appeared significantly to be a better system supporter. The study suggests that the medical juridical person system understanding is a good predator of superintendent support.
期刊論文
1.張耀懋(19990300)。私立醫療機構法人化可行性--醫療公司可能出現嗎?。醫事法學,7(1),49-74。new window  延伸查詢new window
2.吳憲明(19980300)。私立醫院人在政存人去政息乎?--試論醫療法規相關函釋之妥當性。醫事法學,6(1/2),1-7。new window  延伸查詢new window
3.詹啟賢(19991200)。衛生醫療體系再造。醫院,32(6),1-6。  延伸查詢new window
4.譚開元(19991200)。醫療法規檢討修正方向。醫院,32(6),7。  延伸查詢new window
5.楊秀儀(19991200)。鬆綁?更多的管制?--從法律觀點看臺灣醫療法、醫師法修正草案。醫院,32(6),8-14。  延伸查詢new window
6.郝龍斌、謝炎堯(19990600)。醫療法人制度公聽會。醫事法學,7(2),78-81。new window  延伸查詢new window
7.邱永仁(19990500)。醫療法人之探討。臺灣醫界,42(5),63-64。  延伸查詢new window
8.Lerner, W. M.(1999)。The effect of competitive environments on university hospital-medical faculty/staff relationships。Medical Care Review,46(4),387-409。  new window
9.Tregoning, S.(2000)。Hospital board structure: changing form and changing issues。Australian Health Review,23(3),28-39。  new window
10.Bennett, S.、Dakpallah, G.、Garner, P.(1994)。Carrot and stick-state mechanisms to influence private provider behavior。Health Policy & Planning,9(1),1-13。  new window
11.Riska, E.(1978)。Consumer attitudes toward health policy and Knowledge about health legislation。Journal of health politics, policy & law,3(1),112-123。  new window
12.徐強(19940600)。我國企業高階主管個人屬性和企業特性與危機意識關係之研究。中山管理評論,2(2),68-96。new window  延伸查詢new window
13.Sriratanaban, J.、Srichatrapimuk, K.、Kositanurit, I.(1998)。Intention of private hospitals to become contractors in the prepaid social security scheme in Thailand: why and why not?。Southeast Asia Journal of Tropical Medicine & Public Health,29(4),805-813。  new window
14.White, K.、Collyer, F.(1998)。Health care markets in Australia: ownership of the private hospital sector。International Journal of Health Service,28(3),487-510。  new window
學位論文
1.鄭聰明(1997)。私立醫院法人化之研究(碩士論文)。國立臺灣大學。  延伸查詢new window
圖書
1.行政院衛生署醫政處(1999)。八十八年度醫院名冊。  延伸查詢new window
其他
1.行政院衛生署醫政處。表一台灣地區歷年公私立醫療院所數,http://www.doh.gov.tw/new/fociis/org2/naticmal/a890713-1.htm。  延伸查詢new window
2.行政院衛生署醫政處。表29•台灣地區醫院患者佔床率--按樓屬別分,http://www.doh.gov.tw/new/focus/org2/national/a890714-29.diles/sheet002.htm。  延伸查詢new window
 
 
 
 
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